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Inspection Detail
Inspection: 1486441.015 - Mystic Meadows Rehabilitation & Nursing Center
Inspection Information - Office: Marlton Area Office
Site Address:
Mystic Meadows Rehabilitation & Nursing Center
151 9th Avenue
Little Egg Harbor Twp, NJ 08087
Mailing Address:
151 9th Avenue, Little Egg Harbor Twp, NJ 08087
Union Status: NonUnion
SIC:
NAICS: 623110/Nursing Care Facilities
Inspection Type: Fat/Cat
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 10/30/2020
Emphasis:
Case Closed: 07/09/2021
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1636631 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 1 | 3 | |||
| Current Violations | 2 | 1 | 3 | |||
| Initial Penalty | $24,290 | $0 | $0 | $8,675 | $0 | $32,965 |
| Current Penalty | $15,546 | $0 | $0 | $5,454 | $0 | $21,000 |
| FTA Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| # | Citation ID | Citaton Type | Standard Cited | Issuance Date | Abatement Due Date | Current Penalty | Initial Penalty | FTA Penalty | Contest | Latest Event | Note |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 01001 | Serious | 19100134 A02 | 10/30/2020 | 11/27/2020 | $7,773 | $12,145 | $0 | I - Informal Settlement | ||
| 2. | 01002A | Serious | 19100134 E01 | 10/30/2020 | 11/27/2020 | $7,773 | $12,145 | $0 | I - Informal Settlement | ||
| 3. | 01002B | Serious | 19100134 F02 | 10/30/2020 | 11/27/2020 | $0 | $0 | $0 | I - Informal Settlement | ||
| 4. | 02001 | Other | 19040039 A01 | 10/30/2020 | $5,454 | $8,675 | $0 | I - Informal Settlement |
Investigation Summary
At 8:00 a.m. on May 22, 2020, an employee working as Certified Nurse's Aid assisting long term residents with their daily activities tested positive for COVID-19 on 5/22/2020. A few days after being out of work, he advised his management that he felt fatigue with body aches and was going to a physician. On 6/22/2020, management was notified by the employee's daughter that he died.
Keywords: Infectious Disease
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1486441.015 | 30 | M | Fatality |